person
Denisse Evelyn Villa Lopez
Optician in Tucker, Georgia
NPI 1609654441

Denisse Evelyn Villa Lopez is a Optician based in Tucker, GA and is specialized in Optician. Denisse Evelyn Villa Lopez practices in Tucker, GA. The NPI Number for Denisse Evelyn Villa Lopez is 1609654441 and holds a License No. 002738 (Georgia).

The current practice location address for Denisse Evelyn Villa Lopez is 4375 Lawrenceville Hwy, Tucker, GA and can be reached out via phone at 770-939-7576 and via fax at 770-939-0212.

Location: 4375 Lawrenceville Hwy, Tucker, GA, 30084-3702
person
Provider Profile Details
NPI Number
1609654441
Provider Name
Denisse Evelyn Villa Lopez
Credential
Provider Entity Type
Individual
Gender
Female
Address
4375 Lawrenceville Hwy, Tucker, GA, 30084-3702
Phone Number
770-939-7576
Fax Number
770-939-0212
Provider Enumeration Date
09/21/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4375 Lawrenceville Hwy
City
State
Zip
30084-3702
Phone Number
770-939-7576
Fax Number
770-939-0212
person
Provider Business Mailing Address Details
Address
4375 Lawrenceville Hwy
City
State
Zip
30084-3702
Phone Number
770-939-7576
Fax Number
770-939-0212
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
License No.
002738 (Georgia)
Definition
Definition to come...
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